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Pediatrics Review for EM In Service Exam - University at Buffalo ...

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Case #8<br />

• Varicella is caused by a herpes virus, th<strong>at</strong> has<br />

become rel<strong>at</strong>ively uncommon due to vaccin<strong>at</strong>ion<br />

• Usually presents with prodromal illness and the<br />

characteristic rash appears with 24 hours of the<br />

prodrome<br />

• Rash is characteristically vesicular in n<strong>at</strong>ure and<br />

presents in “crops”,, thus there will always be<br />

lesions of various ages on one p<strong>at</strong>ient<br />

• Rash usually starts on the upper trunk, face or<br />

neck and spread centripedally<br />

• IT ALWAYS is pruritic

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